Colette Nelson, RD is a medicare enrolled "Registered Nurse" provider in New York, New York. Her current practice location is
236 E 28th St, Apt 1d, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 545-0200.
Colette Nelson is licensed to practice in Michigan (license number 4704380646) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952525396.
Healthcare Provider's Profile
| Full Name | Colette Nelson |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 236 E 28th St, New York, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952525396
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052696234
- Enrollment ID: I20170330002235
Medical Identifiers
Medical identifiers for Colette Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952525396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 847969 (New York) | Secondary |
| 163W00000X | Registered Nurse | 82438701 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 163WD0400X | Registered Nurse - Diabetes Educator | 20110545 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 355184 (New York) | Secondary |
| 163WD0400X | Registered Nurse - Diabetes Educator | 20110545 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704380646 (Michigan) | Secondary |
| 163W00000X | Registered Nurse | 4704380646 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Colette Nelson allows following entities to bill medicare on her behalf.
| Provider Name | Prominis Medical Services Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841323771
PECOS PAC ID: 9537124441
Enrollment ID: O20041119000601 |
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| Provider Name | Endocrine Associate Of West Village Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1992007819
PECOS PAC ID: 7113102591
Enrollment ID: O20110428000441 |
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| Provider Name | T Bonnett Medical Services Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144461146
PECOS PAC ID: 4385912641
Enrollment ID: O20170612000049 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colette Nelson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colette Nelson, RD
205 3rd Ave Apt 8d,
New York, NY 10003-2510
Ph: (917) 545-0200 | Colette Nelson, RD
236 E 28th St, Apt 1d,
New York, NY 10016-8513
Ph: (917) 545-0200 |
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